Permit p CITY OF TIGARD MECHANICAL PERMIT
1111 Ire , COMMUNITY DEVELOPMENT Permit #: MEC2011 -00090
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2011
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7233 SW KABLE LN 900
Project: Nuance Systems Subdivision: Lot: 0
Project Description: Installing RTU and relocating grills.
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
9788 SE 17TH AVE 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97222 PORTLAND, OR 97224
PHONE: 503 - 233 -6911 PHONE: 503 - 624 -6300
FAX: 503 - 238 -9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/08/2011 $316.80
Class of Work: ALT Type of Const: IIIB Plan Review 03/08/2011 $79.20
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 03/08/2011 $38.02
Stories: 1 Info Process /Archiving - Lg Sheet (over 03/08/2011 $6.00
11x17)
Project Valuation: $8,900.00 Info Process /Archiving - Sm Sheet (up to 03/08/2011 $6.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $446.52
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan , it wo • • uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utif Notification Center. • - les .r; set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
o direct questions to OUNC b, . •,.0 232 1987 or 1.800.332.2344.
I sued By: _ / Permittee Signature:
i
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE O NLY Received —,
City of Tigard �� l+� 4�1� Date/By: j1 perm
itNo.: V � _ ��
13125 SW Hall Blvd., Tigard, OR 97223, 1
Phone: 503.639.4171 Fax: 503 x.19 � 3� Plan Review. , it /
.��� W Date /By: a Other Permit: ` ;� t: 1
TI G A RD Inspection L 503.639 (1 �b Date Ready / t y: See Page 2 for PII
Internet: www.tigard - or.gov ' Notified/Method: 4 i , Iffl Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition /alteration /replacement
Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF. CONSTRUCTION Value: $ $8,900.00
El l - and 2- family dw ell ing RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description p I Qty. I Ea. j Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 7233 SW KABLE LN Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: Tigard Oregon 97224 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: ?Oa I Project name: NUANCE t / t., , Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydmnic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: r 23.32
Tax map /parcel no.: Other fuel appliances .
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
RELOCATE GRILLS TO EXISTING UNIT. ADD 1- 3 TON ROOF TOP UNIT Flue vent for water heater or gas
WITH CURB,GAS PIPPING AND DUCT fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilat
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Protemp Associates Fuel piping
Contact name: Bruce Butner $14.15 for first four; $4.03 for each additional
Address: 9788 SE 17 Ave Furnace, etc.
Gas heat pump
City/State /ZIP: Portland Oregon 97222 Wall/suspended/unit heater
Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Water heater
Fireplace
E -mail: bruce@protnip.com Range
CONTRACTOR Barbecue
Business name: same as above
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
Phone: ( ) I Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 38868 State surcharge (12% of permit fee)
TOTAL PERMIT FEE „ I I/ f 5
Authorized signature: kor ?wG has This permit application expires if a permit is not d within 180
days after it has been accepted as coo mpp leete.
Print name: Bruce Butner I Date: 3/3/11 * Fee methodology set by Tri - County Building Industry Service Board
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